Derek Mason

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC26899 Issued in CA

Practice address

4030 Birch St
Suite 107
Newport Beach, CA 92660-2214

Phone

(949) 752-5533

Fax

(949) 752-5532

NPI assigned

Jul 20, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lifespring Chiropractic Inc

  • Chiropractor
  • Newport Beach, CA
  • NPI 1164557476
  Medicare reassignment NPD Authorized official
• Jordan Johnson Chiropractic Inc.

  • Chiropractor
  • Newport Beach, CA
  • NPI 1518382894
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1700016136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 BIRCH ST",
            "address_2": "SUITE 107",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 BIRCH ST",
            "address_2": "SUITE 107",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602214",
            "telephone_number": "949-752-5533",
            "fax_number": "949-752-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "DEREK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony J. Mascola, MD
• Lori Lynn Mase, PSY.D.
• Pouran Mashour, PHD
• Marina Maslovaric, M.D.
• Cymoni Mason
• Nicolas Gabriel Bryce Masonis, SUDRC
• Robert John Masonis III
• Kristin Masukawa, MD
• Heather Mather, M.A., LMFT
• Joanna Mathews, R.D.

• Chiropractor in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.